<!DOCTYPE html>
<html lang="zh-cn">
    <head>
        <meta charset="utf-8">
        <title>管理员编辑</title>
        <meta name="viewport" content="width=device-width, initial-scale=1.0">
        <meta name="renderer" content="webkit">

        <link rel="shortcut icon" href="../../../extends/img/favicon.ico" />
        <!-- Loading Bootstrap -->
        <link href="../../../extends/css/main.css" rel="stylesheet">

        <!-- HTML5 shim, for IE6-8 support of HTML5 elements. All other JS at the end of file. -->
        <!--[if lt IE 9]>
        <script src="../../../assets/html5shiv.min.js"></script>
        <script src="../../../assets/respond.min.js"></script>
        <![endif]-->
        <script type="text/javascript">
            var require = {
                "config": {
                    "site": {
                        "name": "FastAdmin",
                        "cdnurl": "../../../",
                        "version": "1.0.0",
                        "timezone": "Asia/Shanghai",
                        "languages": {
                            "backend": "zh-cn",
                            "frontend": "zh-cn"
                        }
                    },
                    "upload": {
                        "cdnurl": "./",
                        "uploadurl": "data/upload.json",
                        "bucket": "yourbucketname",
                        "maxsize": "10mb",
                        "mimetype": "*",
                        "multipart": {
                            "policy": "eyJidWNrZXQiOiJ5b3VyYnVja2V0bmFtZSIsInNhdmUta2V5IjoiXC91cGxvYWRzXC97eWVhcn17bW9ufXtkYXl9XC97ZmlsZW1kNX17LnN1ZmZpeH0iLCJleHBpcmF0aW9uIjoxNTAwNTI2NTczLCJub3RpZnktdXJsIjoiaHR0cDpcL1wvd3d3LnlvdXJzaXRlLmNvbVwvdXB5dW5cL25vdGlmeSJ9",
                            "signature": "043eaf09c0319b1a9a11d06511bfdc4e",
                            "bucket": "yourbucketname",
                            "save-key": "/uploads/{year}{mon}{day}/{filemd5}{.suffix}",
                            "expiration": 1500526573,
                            "notify-url": "http://www.yoursite.com/upyun/notify"
                        },
                        "multiple": false
                    },
                    "modulename": "admin",
                    "controllername": "driverInfoAdd",
                    "actionname": "edit",
                    "jsname": "main/js/admin/driverInfo",
                    "moduleurl": "./",
                    "language": "zh-cn",
                    "referer": null
                }
            };
        </script>
    </head>
	<style>
		.labelLeft{
			text-align: right;
			padding-top: 7px;
		}
	</style>
    <body class="inside-header inside-aside is-dialog">
        <div id="main" role="main">
            <div class="tab-content tab-addtabs">
                <div id="content">
                    <div class="row">
                        <div class="col-xs-12 col-sm-12 col-md-12 col-lg-12">
                            <div class="content">
                                <form id="edit-form" class="form-horizontal form-ajax" role="form" data-toggle="validator" method="POST" action="/user">
                        			<div id="errtips" class="hide"></div>
                        			<input type="hidden" name="id" />
									<div class="form-group">
	                                    <label class="control-label col-xs-3 col-sm-3 labelLeft">
	                                    	<span class="text-danger">*</span> 社保号：
	                                    </label>
	                                    <div class="col-xs-7 col-sm-8 no-padding">
	                                        <input type="name" name="userName" class="form-control" placeholder="-" data-rule="socialNum">
	                                    </div>
	                                </div>
	                                <div class="form-group">
	                                    <label class="control-label col-xs-3  col-sm-3 labelLeft">
	                                    	<span class="text-danger">*</span> 车间：
	                                    </label>
	                                    <div class="col-xs-7 col-sm-8 no-padding">
	                                        <input type="name" name="userName" class="form-control" placeholder="乡供电车间" data-rule="workShop">
	                                    </div>
	                                </div>
	                                <div class="form-group">
	                                    <label class="control-label col-xs-3 col-sm-3 labelLeft">
	                                    	<span class="text-danger">*</span> 班组：
	                                    </label>
	                                    <div class="col-xs-7 col-sm-8 no-padding">
	                                        <input type="name" name="userName" class="form-control" placeholder="陵接触网工区" data-rule="temgroup">
	                                    </div>
	                                </div>
	                                <div class="form-group">
	                                    <label class="control-label col-xs-3 col-sm-3 labelLeft">
	                                    	<span class="text-danger">*</span> 姓名：
	                                    </label>
	                                    <div class="col-xs-7 col-sm-8 no-padding">
	                                        <input type="name" name="userName" class="form-control" placeholder="请输入姓名" data-rule="userName">
	                                    </div>
	                                </div>
	
	                                <div class="form-group">
	                                    <label class="control-label col-xs-3 col-sm-3 labelLeft">
	                                    	<span class="text-danger">*</span> 身份证号：
	                                    </label>
	                                    <div class="col-xs-7 col-sm-8 no-padding">
	                                        <input type="password" name="idCard" class="form-control"
	                                               placeholder="请输入身份证号" data-rule="idCard">
	                                    </div>
	                                </div>
	
	                                <div class="form-group">
	                                    <label class="control-label col-xs-3 col-sm-3 labelLeft" for="sex">
	                                    	<span class="text-danger">*</span> 司机类型：
	                                    </label>
	                                    <div class="col-xs-7 col-sm-8 no-padding">
	                                           <select class="form-control">
	                                           		<option>司机</option>
	                                           		<option>学习司机</option>
	                                           		<option>学员</option>
	                                           		<option>指导司机</option>
	                                           </select>
	                                    </div>
	                                </div>
	
	                                <div class="form-group">
	                                    <label class="control-label col-xs-3 col-sm-3 labelLeft" for="phone">
	                                    	<span class="text-danger">*</span> 驾驶证号/准驾机型：
	                                    </label>
	                                    <div class="col-xs-7 col-sm-8 no-padding">
	                                        <input type="text" name="licenceNum" class="form-control" placeholder="请输入驾驶证号" data-rule="licenceNum">
	                                    </div>
	                                </div>
	
	                                <div class="form-group">
	                                    <label class="control-label col-xs-3 col-sm-3 labelLeft">
	                                    	<span class="text-danger">*</span> 文化程度：
	                                    </label>
	                                    <div class="col-xs-7 col-sm-8 no-padding">
	                                        <input type="text" name="degreeCulture" class="form-control" placeholder="请输入文化程度" data-rule="degreeCulture">
	                                    </div>
	                                </div>
	
	                                <div class="form-group">
	                                    <label class="control-label col-xs-3 col-sm-3 labelLeft" for="birthDay">
	                                    	<span class="text-danger">*</span> 司机证取证时间：
	                                    </label>
	                                    <div class="col-xs-7 col-sm-8 no-padding">
	                                        <div class="input-group">
	                                            <input type="text" id="valid-time" name="validTime" class="form-control datetimepicker"
	                                                   placeholder="请输入司机证取证时间" data-rule="validTime" data-date-format="yyyy-mm-dd">
	                                            <span class="input-group-addon"><i class="icon-calendar22"></i></span>
	                                        </div>
	                                    </div>
	                                </div>
	
	                                <div class="form-group">
	                                    <label class="control-label col-xs-3 col-sm-3 labelLeft">学习司机证取证时间：</label>
	                                    <div class="col-xs-7 col-sm-8 no-padding">
	                                        <div class="input-group">
	                                            <input type="text" id="valid-time" name="validTime" class="form-control datetimepicker"
	                                                   placeholder="请输入学习四级证取证时间" data-rule="validTime" data-date-format="yyyy-mm-dd">
	                                            <span class="input-group-addon"><i class="icon-calendar22"></i></span>
	                                        </div>
	                                    </div>
	                                </div>
	
	                                <div class="form-group">
	                                    <label class="control-label col-xs-3 col-sm-3 labelLeft">
	                                    	<span class="text-danger">*</span> 有效时间：
	                                    </label>
	                                    <div class="col-xs-7 col-sm-8 no-padding">
	                                        <div class="input-group">
	                                            <input type="text" id="valid-time" name="validTime" class="form-control datetimepicker"
	                                                   placeholder="请输入有效时间" data-rule="validTime" data-date-format="yyyy-mm-dd">
	                                            <span class="input-group-addon"><i class="icon-calendar22"></i></span>
	                                        </div>
	                                    </div>
	                                </div>
	
	                                <div class="form-group">
	                                    <label class="control-label col-xs-3 col-sm-3 labelLeft">
	                                    	<span class="text-danger">*</span> 技能等级：
	                                    </label>
	                                        <div class="col-xs-7 col-sm-8 no-padding">
		                                       <input type="text" name="skillRange" class="form-control" placeholder="请输入技能等级" data-rule="skillRange">
		                                    </div> 
	                                </div>
	
	                                <div class="form-group">
	                                    <label class="control-label col-xs-3 col-sm-3 labelLeft">
	                                    	<span class="text-danger">*</span> 高铁合格证编号：
	                                    </label>
	                                        <div class="col-xs-7 col-sm-8 no-padding">
		                                       <input type="text" name="certificate" class="form-control" placeholder="请输入高铁合格证编号" data-rule="certificate">
		                                    </div> 
	                                </div>
	
	                                <div class="form-group">
	                                    <label class="control-label col-xs-3 col-sm-3 labelLeft">联系电话：</label>
	                                     <div class="col-xs-7 col-sm-8 no-padding">
	                                       <input type="text" name="phone" class="form-control" placeholder="请输入联系电话" data-rule="phone">
	                                    </div> 
	                                </div>
	                                <div class="form-group">
	                                    <label class="control-label col-xs-3 col-sm-3 labelLeft">备注：</label>
	                                     <div class="col-xs-7 col-sm-8 no-padding">
	                                       <textarea rows="5" cols="5" name="orderContent" class="form-control" placeholder="请输入备注"></textarea>
	                                    </div> 
	                                </div>
	                                <div class="form-group">
	                                    <label class="control-label col-xs-3 col-sm-3 labelLeft">车号：</label>
	                                     <div class="col-xs-7 col-sm-8 no-padding">
	                                       <input type="text" name="phone" class="form-control" placeholder="请输入车号" data-rule="phone">
	                                    </div> 
	                                </div>
	                                <div class="form-group">
	                                    <label class="control-label col-xs-3  col-sm-3 labelLeft">司机编号：</label>
	                                     <div class="col-xs-7 col-sm-8 no-padding">
	                                       <input type="text" name="phone" class="form-control" placeholder="请输入司机编号" data-rule="phone">
	                                    </div> 
	                                </div>
	                                <div class="form-group">
	                                    <label class="control-label col-xs-3  col-sm-3 labelLeft">图片：</label>
	                                     <div class="col-xs-7 col-sm-8 no-padding">
	                                       <input id="excelFile" name="input-b5[]" type="file" multiple >
	                                    </div> 
	                                </div>
                                    <div class="form-group layer-footer">
                                        <label class="control-label style="padding-top:7px;" col-sm-2"></label>
                                        <div class="col-xs-7 col-sm-8">
                                            <button type="submit" class="btn btn-success btn-embossed disabled">确定</button>
                                            <button type="reset" class="btn btn-default btn-embossed">重置</button>
                                        </div>
                                    </div>
                                </form>
                            </div>
                        </div>
                    </div>
                </div>
            </div>
        </div>
        <script src="../../../assets/requirejs/require.js" data-main="../../../extends/js/main.js"></script>
    </body>
</html>